NAVEENA POLAVARAPU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

NAVEENA

Last Name

POLAVARAPU

Business Name

NAVEENA POLAVARAPU

Original Issue Date

06/04/2001

Effective Date

06/04/2001

Expiration Date

07/31/2008

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008